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Patient radiation dose in percutaneous biliary interventions: recommendations for DRLs on the basis of a multicentre study

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Patient radiation dose in percutaneous biliary interventions: recommendations for DRLs on the basis of a multicentre study. / Schmitz, Daniel; Vogl, Thomas; Nour-Eldin, Nour-Eldin Abdelrehim; Radeleff, Boris; Kröger, Jens-Christian; Mahnken, Andreas H; Ittrich, Harald; Gehl, Hans-Björn; Plessow, Bernd; Böttcher, Joachim; Tacke, Josef; Wispler, Markus; Rosien, Ulrich; Schorr, Wolfgang; Joerdens, Markus; Glaser, Nicolas; Fuchs, Erik-Sebastian; Tal, Andrea; Friesenhahn-Ochs, Bettina; Leimbach, Thomas; Höpner, Lars; Weber, Marko; Gölder, Stefan; Böhmig, Michael; Hetjens, Svetlana; Rudi, Jochen; Schegerer, Alexander.

In: EUR RADIOL, Vol. 29, No. 7, 07.2019, p. 3390-3400.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Schmitz, D, Vogl, T, Nour-Eldin, N-EA, Radeleff, B, Kröger, J-C, Mahnken, AH, Ittrich, H, Gehl, H-B, Plessow, B, Böttcher, J, Tacke, J, Wispler, M, Rosien, U, Schorr, W, Joerdens, M, Glaser, N, Fuchs, E-S, Tal, A, Friesenhahn-Ochs, B, Leimbach, T, Höpner, L, Weber, M, Gölder, S, Böhmig, M, Hetjens, S, Rudi, J & Schegerer, A 2019, 'Patient radiation dose in percutaneous biliary interventions: recommendations for DRLs on the basis of a multicentre study', EUR RADIOL, vol. 29, no. 7, pp. 3390-3400. https://doi.org/10.1007/s00330-019-06208-6

APA

Schmitz, D., Vogl, T., Nour-Eldin, N-E. A., Radeleff, B., Kröger, J-C., Mahnken, A. H., Ittrich, H., Gehl, H-B., Plessow, B., Böttcher, J., Tacke, J., Wispler, M., Rosien, U., Schorr, W., Joerdens, M., Glaser, N., Fuchs, E-S., Tal, A., Friesenhahn-Ochs, B., ... Schegerer, A. (2019). Patient radiation dose in percutaneous biliary interventions: recommendations for DRLs on the basis of a multicentre study. EUR RADIOL, 29(7), 3390-3400. https://doi.org/10.1007/s00330-019-06208-6

Vancouver

Schmitz D, Vogl T, Nour-Eldin N-EA, Radeleff B, Kröger J-C, Mahnken AH et al. Patient radiation dose in percutaneous biliary interventions: recommendations for DRLs on the basis of a multicentre study. EUR RADIOL. 2019 Jul;29(7):3390-3400. https://doi.org/10.1007/s00330-019-06208-6

Bibtex

@article{9d4760e4132d4e2385222c1b2791c0fc,
title = "Patient radiation dose in percutaneous biliary interventions: recommendations for DRLs on the basis of a multicentre study",
abstract = "OBJECTIVE: Percutaneous biliary interventions (PBIs) can be associated with a high patient radiation dose, which can be reduced when national diagnostic reference levels (DRLs) are kept in mind. The aim of this multicentre study was to investigate patient radiation exposure in different percutaneous biliary interventions, in order to recommend national DRLs.METHODS: A questionnaire asking for the dose area product (DAP) and the fluoroscopy time (FT) in different PBIs with ultrasound- or fluoroscopy-guided bile duct punctures was sent to 200 advanced care hospitals. Recommended national DRLs are set at the 75th percentile of all DAPs.RESULTS: Twenty-three facilities (9 interventional radiology depts. and 14 gastroenterology depts.) returned the questionnaire (12%). Five hundred sixty-five PBIs with 19 different interventions were included in the analysis. DAPs (range 4-21,510 cGy·cm2) and FTs (range 0.07-180.33 min) varied substantially depending on the centre and type of PBI. The DAPs of initial PBIs were significantly (p < 0.0001) higher (median 2162 cGy·cm2) than those of follow-up PBIs (median 464 cGy·cm2). There was no significant difference between initial PBIs with ultrasound-guided bile duct puncture (2162 cGy·cm2) and initial PBIs with fluoroscopy-guided bile duct puncture (2132 cGy·cm2) (p = 0.85). FT varied substantially (0.07-180.33 min).CONCLUSIONS: DAPs and FTs in percutaneous biliary interventions showed substantial variations depending on the centre and the type of PBI. PBI with US-guided bile duct puncture did not reduce DAP, when compared to PBI with fluoroscopy-guided bile duct puncture. National DRLs of 4300 cGy·cm2 for initial PBIs and 1400 cGy·cm2 for follow-up PBIs are recommended.KEY POINTS: • DAPs and FTs in percutaneous biliary interventions showed substantial variations depending on the centre and the type of PBI. • PBI with US-guided bile duct puncture did not reduce DAP when compared to PBI with fluoroscopy-guided bile duct puncture. • DRLs of 4300 cGy·cm2for initial PBIs (establishing a transhepatic tract) and 1400 cGy·cm2for follow-up PBIs (transhepatic tract already established) are recommended.",
keywords = "Adult, Biliary Tract/diagnostic imaging, Biliary Tract Surgical Procedures/methods, Female, Fluoroscopy/statistics & numerical data, Germany, Humans, Male, Radiation Dosage, Radiation Exposure/statistics & numerical data, Radiography, Interventional/statistics & numerical data, Radiology, Interventional/standards, Reference Values, Retrospective Studies, Stents",
author = "Daniel Schmitz and Thomas Vogl and Nour-Eldin, {Nour-Eldin Abdelrehim} and Boris Radeleff and Jens-Christian Kr{\"o}ger and Mahnken, {Andreas H} and Harald Ittrich and Hans-Bj{\"o}rn Gehl and Bernd Plessow and Joachim B{\"o}ttcher and Josef Tacke and Markus Wispler and Ulrich Rosien and Wolfgang Schorr and Markus Joerdens and Nicolas Glaser and Erik-Sebastian Fuchs and Andrea Tal and Bettina Friesenhahn-Ochs and Thomas Leimbach and Lars H{\"o}pner and Marko Weber and Stefan G{\"o}lder and Michael B{\"o}hmig and Svetlana Hetjens and Jochen Rudi and Alexander Schegerer",
year = "2019",
month = jul,
doi = "10.1007/s00330-019-06208-6",
language = "English",
volume = "29",
pages = "3390--3400",
journal = "EUR RADIOL",
issn = "0938-7994",
publisher = "Springer",
number = "7",

}

RIS

TY - JOUR

T1 - Patient radiation dose in percutaneous biliary interventions: recommendations for DRLs on the basis of a multicentre study

AU - Schmitz, Daniel

AU - Vogl, Thomas

AU - Nour-Eldin, Nour-Eldin Abdelrehim

AU - Radeleff, Boris

AU - Kröger, Jens-Christian

AU - Mahnken, Andreas H

AU - Ittrich, Harald

AU - Gehl, Hans-Björn

AU - Plessow, Bernd

AU - Böttcher, Joachim

AU - Tacke, Josef

AU - Wispler, Markus

AU - Rosien, Ulrich

AU - Schorr, Wolfgang

AU - Joerdens, Markus

AU - Glaser, Nicolas

AU - Fuchs, Erik-Sebastian

AU - Tal, Andrea

AU - Friesenhahn-Ochs, Bettina

AU - Leimbach, Thomas

AU - Höpner, Lars

AU - Weber, Marko

AU - Gölder, Stefan

AU - Böhmig, Michael

AU - Hetjens, Svetlana

AU - Rudi, Jochen

AU - Schegerer, Alexander

PY - 2019/7

Y1 - 2019/7

N2 - OBJECTIVE: Percutaneous biliary interventions (PBIs) can be associated with a high patient radiation dose, which can be reduced when national diagnostic reference levels (DRLs) are kept in mind. The aim of this multicentre study was to investigate patient radiation exposure in different percutaneous biliary interventions, in order to recommend national DRLs.METHODS: A questionnaire asking for the dose area product (DAP) and the fluoroscopy time (FT) in different PBIs with ultrasound- or fluoroscopy-guided bile duct punctures was sent to 200 advanced care hospitals. Recommended national DRLs are set at the 75th percentile of all DAPs.RESULTS: Twenty-three facilities (9 interventional radiology depts. and 14 gastroenterology depts.) returned the questionnaire (12%). Five hundred sixty-five PBIs with 19 different interventions were included in the analysis. DAPs (range 4-21,510 cGy·cm2) and FTs (range 0.07-180.33 min) varied substantially depending on the centre and type of PBI. The DAPs of initial PBIs were significantly (p < 0.0001) higher (median 2162 cGy·cm2) than those of follow-up PBIs (median 464 cGy·cm2). There was no significant difference between initial PBIs with ultrasound-guided bile duct puncture (2162 cGy·cm2) and initial PBIs with fluoroscopy-guided bile duct puncture (2132 cGy·cm2) (p = 0.85). FT varied substantially (0.07-180.33 min).CONCLUSIONS: DAPs and FTs in percutaneous biliary interventions showed substantial variations depending on the centre and the type of PBI. PBI with US-guided bile duct puncture did not reduce DAP, when compared to PBI with fluoroscopy-guided bile duct puncture. National DRLs of 4300 cGy·cm2 for initial PBIs and 1400 cGy·cm2 for follow-up PBIs are recommended.KEY POINTS: • DAPs and FTs in percutaneous biliary interventions showed substantial variations depending on the centre and the type of PBI. • PBI with US-guided bile duct puncture did not reduce DAP when compared to PBI with fluoroscopy-guided bile duct puncture. • DRLs of 4300 cGy·cm2for initial PBIs (establishing a transhepatic tract) and 1400 cGy·cm2for follow-up PBIs (transhepatic tract already established) are recommended.

AB - OBJECTIVE: Percutaneous biliary interventions (PBIs) can be associated with a high patient radiation dose, which can be reduced when national diagnostic reference levels (DRLs) are kept in mind. The aim of this multicentre study was to investigate patient radiation exposure in different percutaneous biliary interventions, in order to recommend national DRLs.METHODS: A questionnaire asking for the dose area product (DAP) and the fluoroscopy time (FT) in different PBIs with ultrasound- or fluoroscopy-guided bile duct punctures was sent to 200 advanced care hospitals. Recommended national DRLs are set at the 75th percentile of all DAPs.RESULTS: Twenty-three facilities (9 interventional radiology depts. and 14 gastroenterology depts.) returned the questionnaire (12%). Five hundred sixty-five PBIs with 19 different interventions were included in the analysis. DAPs (range 4-21,510 cGy·cm2) and FTs (range 0.07-180.33 min) varied substantially depending on the centre and type of PBI. The DAPs of initial PBIs were significantly (p < 0.0001) higher (median 2162 cGy·cm2) than those of follow-up PBIs (median 464 cGy·cm2). There was no significant difference between initial PBIs with ultrasound-guided bile duct puncture (2162 cGy·cm2) and initial PBIs with fluoroscopy-guided bile duct puncture (2132 cGy·cm2) (p = 0.85). FT varied substantially (0.07-180.33 min).CONCLUSIONS: DAPs and FTs in percutaneous biliary interventions showed substantial variations depending on the centre and the type of PBI. PBI with US-guided bile duct puncture did not reduce DAP, when compared to PBI with fluoroscopy-guided bile duct puncture. National DRLs of 4300 cGy·cm2 for initial PBIs and 1400 cGy·cm2 for follow-up PBIs are recommended.KEY POINTS: • DAPs and FTs in percutaneous biliary interventions showed substantial variations depending on the centre and the type of PBI. • PBI with US-guided bile duct puncture did not reduce DAP when compared to PBI with fluoroscopy-guided bile duct puncture. • DRLs of 4300 cGy·cm2for initial PBIs (establishing a transhepatic tract) and 1400 cGy·cm2for follow-up PBIs (transhepatic tract already established) are recommended.

KW - Adult

KW - Biliary Tract/diagnostic imaging

KW - Biliary Tract Surgical Procedures/methods

KW - Female

KW - Fluoroscopy/statistics & numerical data

KW - Germany

KW - Humans

KW - Male

KW - Radiation Dosage

KW - Radiation Exposure/statistics & numerical data

KW - Radiography, Interventional/statistics & numerical data

KW - Radiology, Interventional/standards

KW - Reference Values

KW - Retrospective Studies

KW - Stents

U2 - 10.1007/s00330-019-06208-6

DO - 10.1007/s00330-019-06208-6

M3 - SCORING: Review article

C2 - 31016441

VL - 29

SP - 3390

EP - 3400

JO - EUR RADIOL

JF - EUR RADIOL

SN - 0938-7994

IS - 7

ER -